Organization Active NPI

Dolly Manvar M.D P.C

  • Allergy Physician
  • Brooklyn, NY
National Provider Identifier
1952674442
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
142756 Issued in NY
Legal business name
DOLLY MANVAR M.D P.C
Practice address
6414 Bay Pkwy
Brooklyn, NY 11204-3929
Phone
(718) 234-2300
Fax
(718) 234-0098
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dolly Manvar, M.DNPI 1942244942
Title
President
Phone
(718) 234-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 142756 NY Primary

Addresses

Primary practice location

6414 Bay Pkwy
Brooklyn, NY 11204-3929

Mailing address

6414 Bay Pkwy
Brooklyn, NY 11204-3929
Phone (718) 234-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000231 NY Part B Supplier - Clinic/Group Practice 4688835739 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Howard Beach, NY

National Provider Directory

National Provider Directory

Locations

6414 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-6737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1952674442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043929",
            "telephone_number": "718-234-2300",
            "fax_number": "718-234-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043929",
            "telephone_number": "718-234-2300",
            "fax_number": "718-234-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLLY MANVAR M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MANVAR",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-234-2300",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "142756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.